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01.12.2018 | Research article | Ausgabe 1/2018 Open Access

BMC Health Services Research 1/2018

Teledermatology scale-up frameworks: a structured review and critique

Zeitschrift:
BMC Health Services Research > Ausgabe 1/2018
Autoren:
Laticha Elizabeth Marolana Walters, Richard Ernest Scott, Maurice Mars
Wichtige Hinweise

Electronic supplementary material

The online version of this article (https://​doi.​org/​10.​1186/​s12913-018-3418-x) contains supplementary material, which is available to authorized users.

Abstract

Background

The South African public health sector embarked on a National Telemedicine System implementation program in 1999 and although unsuccessful, the Province of KwaZulu-Natal subsequently implemented teledermatology in 2003, with two currently active services (synchronous and asynchronous). Although sustained these have not been scaled-up to meet the needs of all hospitals in the Province. A recent teledermatology scale-up design requirements elicitation process within KwaZulu-Natal confirmed the need for a framework, and identified requirements through key stakeholders, programme observations, the literature, and experts. This study aimed to identify and characterise existing teledermatology or related eHealth scale-up frameworks, determine whether any met the previously elicited scale-up framework requirements, and were suitable for use in the KwaZulu-Natal public health sector.

Methods

A structured literature search was performed of electronic databases (Scopus, Science Direct, IEEE, PubMed, and Google Scholar) seeking proposed or developed teledermatology or related scale-up frameworks. Global public health publications were also hand-searched. The teledermatology or telemedicine, telehealth or eHealth related scale-up frameworks identified were critiqued against the previously elicited teledermatology scale-up framework requirements to determine their suitability for use.

Results

No specific teledermatology scale-up framework was found. Seven related scale-up frameworks were identified, although none met all the previously identified teledermatology scale-up framework requirements. The identified frameworks were designed for specific scale-up phases and lacked a more holistic and comprehensive approach.

Conclusions

There is an evidenced-based need for the development of a health sector aligned, holistic framework that meets the identified teledermatology scale-up framework requirements. The findings of this paper will inform development of such a framework.
Zusatzmaterial
Additional file 1: Details of characterisation of the identified frameworks. Detailed listing of characterisation of identified frameworks split into Abbreviation, Research methods, Theoretical foundations, Components, Considerations and relationships, Real-world implementation; (DOCX 240 kb)
12913_2018_3418_MOESM1_ESM.docx
Additional file 2: Detailed results of the TD requirements mapping to identified frameworks. Detailed listing of the results of the TD requirements mapping to the components of the identified frameworks (DOCX 248 kb)
12913_2018_3418_MOESM2_ESM.docx
Literatur
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